Active NPI
Keryann Ladouceur
- Occupational Therapist
- New Hyde Park, NY
National Provider Identifier
1073215968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1568 Union Tpke
New Hyde Park, NY 11040-1762 - Phone
- (516) 837-9623
- NPI assigned
- Mar 21, 2023
- Last updated
- Mar 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NY | Primary |
Addresses
Primary practice location
1568 Union Tpke
New Hyde Park, NY 11040-1762
Mailing address
185 Landford Dr
Elmont, NY 11003-4110
Phone (516) 837-9623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1073215968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 LANDFORD DR",
"city": "ELMONT",
"state": "NY",
"postal_code": "110034110",
"telephone_number": "516-837-9623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1568 UNION TPKE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401762",
"telephone_number": "516-837-9623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADOUCEUR",
"first_name": "KERYANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-21",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.